ArticleBMJ open2020
Need for recovery amongst emergency physicians in the UK and Ireland: a cross-sectional survey.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 21 citations in OpenAlex.
- Workforce guidelines, burnout, work engagement and the intention to leave: A cross-sectional study among Dutch emergency physicians.PloS one · 2026Article
- Prevalence of insomnia, fatigue and symptoms of mental health problems among emergency medical service nurses: a cross-sectional study.BMC nursing · 2025Article
- Fatigue risk assessment of a Helicopter Emergency Medical Service crew working a 24/7 shift pattern: results of a prospective service evaluation.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Article
- Refreshing the emergency medicine research priorities.Emergency medicine journal : EMJ · 2023Article
- National Emergency Resuscitation Airway Audit (NERAA): a pilot multicentre analysis of emergency intubations in Irish emergency departments.BMC emergency medicine · 2022Article
- Working hours, on-call shifts, and risk of occupational injuries among hospital physicians: A case-crossover study.Journal of occupational health · 2022Article
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Corrections and comments
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Authors and funding
9 authors at 6 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine the need for recovery (NFR) among emergency physicians and to identify demographic and occupational characteristics associated with higher NFR scores.
designCross-sectional electronic survey.
settingEmergency departments (EDs) (n=112) in the UK and Ireland.
participantsEmergency physicians, defined as any registered physician working principally within the ED, responding between June and July 2019.
main outcome measureNFR Scale, an 11-item self-administered questionnaire that assesses how work demands affect intershift recovery.
resultsThe median NFR Score for all 4247 eligible, consented participants with a valid NFR Score was 70.0 (95% CI: 65.5 to 74.5), with an IQR of 45.5-90.0. A linear regression model indicated statistically significant associations between gender, health conditions, type of ED, clinical grade, access to annual and study leave, and time spent working out-of-hours. Groups including male physicians, consultants, general practitioners (GPs) within the ED, those working in paediatric EDs and those with no long-term health condition or disability had a lower NFR Score. After adjusting for these characteristics, the NFR Score increased by 3.7 (95% CI: 0.3 to 7.1) and 6.43 (95% CI: 2.0 to 10.8) for those with difficulty accessing annual and study leave, respectively. Increased percentage of out-of-hours work increased NFR Score almost linearly: 26%-50% out-of-hours work=5.7 (95% CI: 3.1 to 8.4); 51%-75% out-of-hours work=10.3 (95% CI: 7.6 to 13.0); 76%-100% out-of-hours work=14.5 (95% CI: 11.0 to 17.9).
conclusionHigher NFR scores were observed among emergency physicians than reported in any other profession or population to date. While out-of-hours working is unavoidable, the linear relationship observed suggests that any reduction may result in NFR improvement. Evidence-based strategies to improve well-being such as proportional out-of-hours working and improved access to annual and study leave should be carefully considered and implemented where feasible.
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